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Organization
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF LONDON SQUARE, PA
Active
Organization
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF LONDON SQUARE, PA
Active
Other names
Dental Associates of West Kendall
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVYN GOBER DDS (CEO)
(305) 274-2499
Entity
Organization
Contact information
Practice address
13400 SW 134TH AVE, SUITE 310, MIAMI, FL 33186-4523
(305) 255-3986
(305) 255-9541
Mailing address
13195 SW 134TH ST FL 2, MIAMI, FL 33186-4461
(305) 274-2499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
08/01/2014
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